Mariah Mitchell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

560 Boston Tpke
Shrewsbury, MA 01545-5970

Phone

(508) 443-0018

Fax

(508) 819-5827

NPI assigned

Nov 10, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Autism Allies Incorporated

  • Home Health Agency
  • Shrewsbury, MA
  • NPI 1174988620
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1740998426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 BOSTON TPKE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455970",
            "telephone_number": "508-443-0018",
            "fax_number": "508-819-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 BOSTON TPKE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455970",
            "telephone_number": "508-443-0018",
            "fax_number": "508-819-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MARIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11011165A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@autismallies.com",
            "affiliation": "N",
            "address_1": "560 Boston Tpke",
            "city": "Shrewsbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015455970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James A Michaels
• Erin Michaud, IBCLC
• Amy Millette, CCC-SLP
• Mary As Minalga, LICSW
• Jeanine Lea Mindrum, MA-CCC-SLP
• Modern Dentistry LLC (Modern Dentistry of Shrewsbury)
• Rayann Mohammad
• Jane A. Molinari, M.D.
• Ann Monahan
• Danielle N Moncrieffe, MD

• Behavior Technician in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Behavior Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.